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HomeMy WebLinkAboutPermit Plumbing 2003-10-14SPRIN Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2003-01042ISSUED: 1011412003 APPLIEDz 1011412003EXPIRES: 0411412004 VALUE: \ SITE ADDRESS: 1325 7TH ST ASSESSOR'S PARCEL NO.: 1703264308700 PROJECT DESCRIPTION: Replace 80 ft sanitary sewer line Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential Owner: Address: AUDREY CHURCHILL 1243 OLYMPIC ST SPRINGFIELD OR 97477 PhoneNumber: 541-736-1285 Contractor Type Plumbing Contractor JEFFRY W PLUMMER Expiration Date 03t29t2005 Phone 541-741-2041 License 101850 CONTRACTOR INFORMATION # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Path: 5$ N #Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: \t Square Footage or Bid Amount Lot Size: Sq Ft 1st Floor: 2nd Floor: Basement: Garage/Carport Other: Impervious Surface Area: R-3 VN SETBACKS Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: law r REQUIRED PARKING Total: Handicapped: Compact: equlresy outo $ Per Sq Ft or multiplier Total Value of Project Pase I of2 Description Type of Construction Value Date Calculated r' U rLUrN U rN 11 ur(1vrA,Illlll-l Valuation Description I Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2003-01042ISSUED: 1011412003APPLIEDz 1011412003 EXPIRESz 0411412004 VALUE: Eees Pai Fee Description + l0o/o Administrative Fee + 7oh State Surcharge Sanitary Sewer - lst 50 Feet Sanitary Sewer Each Addtl 100' Total Amount Paid Amount Paid $5.90 $4.13 $45.00 $14.00 $69.03 Date Paid t0n4t03 t0n4t03 t0lt4t03 t0n4t03 Receipt Number 1200200000000002311 1200200000000002311 1200200000000002311 12002000000000023r r Plan Reviews To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Sanitary Sewer Line: Prior to lilling trench and including required testing. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. -21) 1@" /el' 'v ;G66,"r, *ro ". r, r, "r,,"Date Ptse2 of2 Keoutreo rnsDecu 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfielfl Official Receipt Development Services Department Public Works Department Receipt #: 120020000000000231 I COM2003-01042 Sanitary Sew€r - lst 50 Feet 45.00 COM2003-01042 Sanitary Sewer Each Addd 100' 14.00 COM2003-01042 + ?% State SurchErge 4.13 COM2003-01042 + l0% Administrative Fee 5.90 Item Total:$69.03 Date: 1011412003 10:45:19AM Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check AARDVARKEXCAVATION djb In Person Payment Total: s69.03 $69.03